INTRODUCTION

What is a family?
Naturally each of us is very "familiar" with our own surroundings and social mores and culture. But it is a very diverse world in which we live. Just because Dad (or Mom) cracks the whip a certain way in the US-doesn't mean it works that way in India, Peru or Sweden. Yes, we can even have family defined as "any of our immediate social groups within which we feel a strong sense of friendship, bonding or belonging. Without this social mechanism we would not be here.

Filipino parents believe in their traditional values and beliefs. As in every family, there are different types of fathers and mothers. The father is usually the hard-working, stern type and the mother is the more passive and the understandable one. A Filipino father believes in hard work and working with his hands. A Filipino mother will usually cook and be the most religious one in the family. A Filipino family enjoys cooking and eating a lot, especially Filipino food. If you go to a Filipino household, the people will almost more than likely-offer you a bite to eat. Filipino's have a close-knit bond with their uncles, aunts and cousins-you can usually find them at a Filipino family party on Saturday's and Sunday's. And since most Filipino's are Catholic, they attend mass at a Catholic church every Sunday.

As Health advocates in the society, we are obliged to maintain or restore the optimum health of the people within the community and that aim we have as actively participating student nurses of this generation, we adhere to the problems of our family, which is the basic unit of the society and the most important component of our country.

We met the family for the first time last July 06, 2012 at Buclad, Asuncion. Their geographical location is accessible because theres already road in order for you to locate the place; we took a ride in order for us to reach the place. The head of the family is Mr. Leonardo Sepneo, a 41 year old original resident of Barangay Buclad. He is living together with his wife, Mrs.Arelyn Sepneo, 40 year old and with his son and daughter. The head of the family is a farmer and single motor driver, and earns at approximately Php 200 per month. The husband seldom drinks, while Arelyn is a plain housewife whose focus is to take care of the children especially their daughter who often acquires such illnesses.

As the real aim of the Nursing Profession which is to give care to the people, we took it as a stepping stone in helping the family in making them realize the essence of a simple yet healthy life through many ways of living. We are also responsible for giving our family the importance of prioritizing such health problems whether a health deficit or threat in order to give specific actions for us, together with the cooperation of the family, to achieve, solve, reduce and/or completely eliminate the different kinds of problems through establishing a good foundation of prioritizing actions and care to promote, prevent or keep the family away from the occurrences of various diseases.

acknowledgement

As health providers of this society, we ought to give our all in order to help the people in this community achieve their main goal-the health yet joyful life. A big and unending thanks to our clinical Instructors, Mrs. Lesley C. Cadua RN, MN, Ms. Joan C. Calzada RN, MN and Mrs. Alicia Besa RN, MN who brought our ideas and our clinical experiences into more productive yet helpful to all the people in the community because through HR fun-filled way of teaching, we are able to inculcate in our minds and most especially to our hearts the importance of helping family in a certain community to achieve their optimum health which is predominantly the aim of this project. She enhanced our capabilities in giving care to the people who needed the most out of it.

The said action will never be attained without the courage and selfless effort of the group-2A: Pinky, Yvonne, Axel, Zhendy, Neil, Rondel, Jose Mari, Ian, who took this challenge seriously and did it without any hesitations to help a family who needed much care from us through the sleepless nights that we had, the money, time, and effort that we exerted, shared and sacrificed, the project became possible that I can say, it all worth it.

things possible through giving us knowledge, the abilities and the resources that we need. He helped us in many ways and we undoubtly appreciate it and we give him all our praises. In accordance to the vision of the department of health in the Philippines: the leader of health in all Filipinos in the Philippines, we, in the least that we did, contributed to its vision through giving our willingness and determination to devout ourselves in giving care to our Filipino countrymen and someday, as we go on with our chosen profession, we will be able to give care also to all the people in the world not just Filipinos.

Genogram

Sepneo Family

Initial Data Base

A. FAMILY STRUCTURES AND CHARACTERISTICS

Family Member
Leonardo Sepneo

Age

Sex

Civil Status

Position in the Family

Father

Place of Residence
Residing with his Family

41

Married

Arelyn Sepneo

40

Married

Mother

Residing with her Family

Jeremy Sepneo

10

Single

Son

Residing with his Family

Jay-ann Sepneo

Single

Daughter

Residing with her Family

Types of Family Structure

The Family is categorized as a Nuclear Family or often called as a Traditional Family that is composed of 4 members, a father, mother and a son and daughter. Both of the parents are married and are Protestants. Also the family is living in the same roof. The father works mostly as a farmer and has a side-line job as a motorcycle driver. On the other hand, the mother is staying at their home. Their eldest child which is a son, named Jeremy Sepneo is 10 years old and is a Grade 4 pupil and their second child, Jay-ann Sepneo is a year younger than her brother and is a Grade 3 pupil.

GENERAL FAMILY RELATIONSHIP

The Family is as said in the family structure lives in the same house euphoniously. In decision making, in terms of financial, or health problems or dilemmas the couple always try to talk in private and work things out. The parents are also educated when there are illnesses or diseases present within the members and goes to consult in the health center. Hence, before going, they first take medicines to relieve pain or lower down body temperature. Though the father is dominant in terms of discipline and that results to the cooperation of every member and makes them gratified of what they have and somehow aim higher.

B. SOCIO-ECONOMIC AND CULTURAL FACTORS

Family Members

Occupation

Income

Educational Attainment

Tribe

Religion

Leonardo Sepneo

Farmer and Driver

200

High School Graduate

Ilokano

Oneway

Arelyn Sepneo

Housewife

_____

2nd year High School

Mandaya

Oneway

C. HOUSING AND ENVIRONMENT

1. Housing a. Adequacy of living space The house of the family consists of one room, good for four members. The roof is made up of galvanized metal, the wall is made up of bamboo matting and the floor is made up of soil. They have only one bed for all of them and the toilet is away from their house. b. Distance of Comfort Room from dining room and water used: The distance of the CR to the dining room is about 10meters and the distance of the CR to the water they used is 20 to 60meters. c. Adequacy of Furniture and Appliances The Family had one only radio and a long wooden sofa on their home. d. Presence of Breeding Site of Insects and Rodents You can find mosquitoes and flies in their house especially in the dining area and outside of their house specifically in grassy areas. e. Food Storage The Family stores their food inside a plastic cabinet. f. Cooking Facilities The Family is using fire woods in cooking. g. Water Supply Their source of water for bathing, drinking, laundry and washing dishes comes from a water pump. h. Toilet Facilities The toilet used by the family wad wade of water proofed lona and it is located few away from their house.

i. Garbage Disposal The family is segregating their garbage in different sacks. j. Drainage System The drainage system for their pigs cage at the back of their house was open yet well managed and they always maintain its cleanliness. k. Lighting Facilities They only use lamp as the source of their light. l. Use of Protective Measure They dont practice using any insecticides to kill insects in their house. 2. Kinds of Neighborhood The neighborhood have enough gap from the other house. 3. Social and Health Facilities Available The Purok is just a walking distance from their home, the health center is also a walking distance from their name and the Barangay Hall is extremely away from their home. 4. Immunization Status of Family Members All of the Family members are already taken the immunization. 5. Communication and Transportation Facility Available The family have only a radio to know the current issues of the present time. They have motorcycle for their means of transportation.

D. HEALTH ASSESSMENT OF EACH FAMILY MEMBER

By the moment, their daughter is experiencing cough and a slight fever. The other family member is in a good and well-being condition. 1. Medical and Nursing History. There is no disease in their family so far, except for their daughter experiencing cough. They usually self-medicate and sometimes go to the health center to give themselves the medical check-up. 2. Nutritional Assessment. a. Anthropometric Data.
Name Leonardo Sepneo Arelyn Sepneo Weight 67

b. Dietary History They eat three (3) times a day. They usually have vegetable, rice fish and dried fish for their breakfast, lunch and also for their supper. c. Eating Habits and Practice They usually eat three (3) times a day with the accompaniment of rice and vegetable.

E. VALUES PLACED ON PREVENTION OF DISEASES.

A. Immunization Status of Family Members The children had undergone complete immunization. B. Healthy Lifestyle Practices Due to lack of budget Mr. Leonardo Sepneo cannot provide a daily vitamins to his children, as to protect their children from any kinds of diseases and to have a strong immune system.

FIRST LEVEL ASSESSMENT

A. HEALTH THREAT 1. Inadequate Room Space - The small space and crowded sleeping placement. - Prone to acquire illness, from one individual to another. 2. Unsafe Water Supply - The contamination of their source of water. - Can cause waterborne infection. 3. Fire Hazard The cooking area is using fire wood which is prone to fire. - Gas lamp prone to fire.

SECOND LEVEL ASSESSMENT

A. HEALTH THREAT 1. Unsafe Water Supply - Inability to recognize the presence of the conditions of the problem due to: a. Inadequate knowledge concerning the importance of proper storage of water supply and safety measures concerning the cleanliness of the water. 2. Inadequate Room Space - Inadequate housing space conductive to health maintenance due to: a. Lack of knowledge and finance in carrying out measures to extend home space. 3. Fire Hazard - Inability to provide a clean and safety home environment due to: a. Insufficient knowledge about the risks of the health threats.

A. HEALTH THREAT 1. Unsafe Water Supply

Criteria
1. Nature of the Problem

Computation
2/3 x 1

Actual Score
0.67

Justification
This is a health threat because this is a water-borne infection and contamination causing infection.

2. Modifiability of the Problem

1/2 x 2

The family has the resources that are available to solve the problem.

3.Preventive Potential

2/3 x 1

0.67

The family can use sterilization and boiling of water and utensils, a technique in resolving the problem.

4. Salience of the Problem

1/2 x 1

0.5

The family doesnt recognize and consider this as a problem.

Total

2.84

2. Inadequate Room Space

Criteria
1. Nature of the Problem

Computation
2/3 x 1

Actual Score
0.67

Justification
This is a health threat to the family to easily acquire one of the family member illness and diseases.

2. Modifiability of the Problem

2/2 x 2

The family can easily modify and had some resources to manage the problem.

3. Preventive Potential

2/2 x 2

0.67

The family can use some intervention that can be a help to maximize the space of the room.

4. Salience of the Problem

2/2 x 1

The family must secure the area where in theres a lot of possibilities such as prone to the development of illness.

3. Fire Hazard
Criteria
1. Nature of the Problem

Computation
2/3 x 1

Actual Score
0.67

Justification
This is a health threat to the family because of their cooking

place and using fire wood and is

prone to fire accident.

2. Modifiability of the Problem

1/2 x 2

0.5

This is partially modifiable for the family can use resources that could help to solve the problem

3. Preventive Potential

2/3 x 1

0.67

The family can use some intervention such as briefing and orientation to each family member.

4. Salience of the Problem

2/2 x 1

The family was able to recognize the problem and must pay attention into it.

Total

2.84

Family Coping index

Family Nursing Care Plan

Journal

Summary:

The reading talks about the happening of every couple inside the home of a family, the author says that there are a lot of experiences that may change the feeling for each other or else theres gonna be no more affection at all. She shared in this article how she and her husband had an argument in front of their kids, but as their kid speaks out, they were awakened and dont know how the problem to be solved but there is something that makes her realize the picture by the lake, with all their smiling faces for the camera, she thought about the bumpy ride that they had been. The actor and the actress of the family are the parents would truly hold to the solid commitment to each other for the sake of their children. Separation and annulment is an option in the family, according to Josh McDowell said that their children together with his wife to stay together for a lifetime. Leo Buscagla his Italian mother wont and will never agree to have divorce. Annie and Steve Chapman recalled the story about Hernando the Mexican conqueror burnt their ships as a symbol of their commitment. This act compared to what a couple must commit. The separation or annulment will get their kids discouraged or upset and some distressed and heartbroken children discover their parents living in a lie throughout the years.

Reaction: Every child deserves a big happy family, there may be trials along the way, but if separation and annulment will be ones escape, then that means that one of the couple is weak and will stay in such a doomed place on earth. Considering the emotional aspect of ones children, one might dont feel love to their partner. But, the gift of God on a couples marriage that is ones children has the feelings to get hurt, hate, anger, and even revenge can cause a lot of problem in our tragic society. Some things that couples argue about can be Gods challenge bests in ones marriage, you must help each other to build a commitment that is strong that no one can break.